摘要
目的:探讨床旁超声在行连续性肾脏替代治疗(CRRT)治疗急性肾损伤(AKI)的应用效果。方法:将某院2019年1月~2021年6月期间41例行CRRT的AKI患者按照计算机分组法分为对照组20例和观察组21例,对照组采用中心静脉压(CVP)监测联合CRRT治疗,观察组在对照组基础上采用床旁超声技术联合CRRT治疗,观察不同时间点下腔静脉最大直径(IVCmax)、IVC最小直径(IVCmin)、三尖瓣环收缩期位移(TAPSE)水平、两组肾组织灌注情况、心功能。结果:治疗6h、12h、18h及24h后,观察组患者IVCmax、IVCmin及TAPSE水平均得到改善(P<0.05);治疗2d后,观察组患者肾血流量、肾主动脉内径水平均高于对照组,观察组患者RRI水平低于对照组(P<0.05);观察组患者左心室射血分数(LVEF)、主动脉血流的速度时间积分(VTI)水平均高于对照组(P<0.05)。结论:床旁超声在行CRRT治疗AKI患者中可调节IVCmax、IVCmin、TAPSE水平,进而改善心功能,保证肾组织灌注。
Objective:To investigate the effect of bedside ultrasound in continuous renal replacement therapy(CRRT)in the treatment of acute renal injury(AKI).Methods:41 AKI patients who underwent CRRT in a hospital from January 2019 to June 2021 were divided into the control group(20 cases)and the observation group(21 cases)according to the computer grouping method.The control group was given central venous pressure(CVP)monitoring combined with CRRT,and the observation group was treated with bedside ultrasound combined with CRRT on the basis of the control group.The maximum diameter of inferior vena cava(IVCmax),the minimum diameter of inferior vena cava(IVCmin),the tircuspid annular plane systolic excursion levels,the renal tissue perfusion status,and the cardiac function at different time points were observed in the two groups.Results:The levels of IVCmax,IVCmin and TAPSE in the observation group were improved after 6h,12h,18h and 24h of treatment(P<0.05).The levels of renal blood flow and renal aortic internal diameter in the observation group were higher than those in the control group,and the RRI level was lower than that in the control group(P<0.05).The left ventricular ejection fraction(LVEF)and the velocity time of the aortic blood flow level in the observation group were lower than those in the control group(P<0.05).Conclusion:Bedside ultrasound can adjust the levels of IVCmax,IVCmin and TAPSE in patients with AKI treated with CRRT,so as to improve cardiac function and ensure renal perfusion.
作者
郑志忠
伍荣乐
张而立
李晓慈
Zheng Zhizhong;Wu Rongle;Zhang Erli;Li Xiaoci(Department of Critical Medicine,Taishan People's Hospital,Taishan 529200;Department of Pediatrics,Taishan People's Hospital,Taishan 529200)
出处
《数理医药学杂志》
CAS
2022年第4期600-602,共3页
Journal of Mathematical Medicine
关键词
床旁超声
连续性肾脏替代治疗
急性肾损伤
肾组织灌注
bedside ultrasound
continuous renal replacement therapy
acute renal injury
renal tissue perfusion
